The term “erectile dysfunction” is widely used to denote permanent or periodic inability to achieve and / or maintain erection sufficient for sexual intercourse. Erectile dysfunction prevalence among men of all ages is from 10 to 20%. According to andrologists, men suffered from various forms of erectile dysfunction in developed countries in 52% between ages of 40 and 70.
With age, certain changes take place in sexual intercourse physiology, which must be regarded as physiological. As they grow older, men lose ability to spontaneously erect under influence of fantasy, olfactory stimuli or viewing pictures. Therefore, with age, need for direct methods of external genital organs stimulation grows, which is often not understood by sexual partner, especially if she is accustomed to another scenario of sexual intercourse.
Despite physiological changes in healthy man, regardless of age, ability to have a sexual intercourse remains. Age is not a factor limiting sexual activity, however, it is the main factor leading to emergence of age-related androgen deficiency and chronic diseases that cause erectile dysfunction occurrence. With the age it is associated development of such disease as prostate adenoma, chances of getting chronic prostatitis increase with age.
Statistical Data about ED and Prostate
Data about sexual disorders in case of prostatitis have undergone changes over past few decades. There have been significant number of reports proving that prostatitis causes not only pain and impaired urination, but also leads to various sexual disorders including erectile dysfunction. Sexual disorders are observed in 52% of men with prostatitis.
It is shown that:
- existing sexual relationships deteriorate or break (in 67% of patients);
- new connections are formed more difficult or not at all (in 33%).
According to studies results conducted in Finland:
- 43% of patients with prostatitis complained of periodic or permanent erectile dysfunction;
- 24% of libido decreased.
Sexual disorders in patients with chronic prostatitis can develop in stages. First there is premature ejaculation, then insufficiently adequate erection is attached, and then change in libido may appear. However, this sequence is not mandatory for every particular man.
There is a correlation between:
- sexual activity;
- size of prostate adenoma;
- severity of urination disorders.
Severe urination disorders, such as imperative and painful, cause erectile dysfunction and premature ejaculation. The consequence of these unfavorable conditions is general life dissatisfaction expressed by men surveyed. 58% of patients reported lack of erection for sexual intercourse, 50% noted sharp decrease in amount of ejaculate, and 10% – pain with erection.
In a detailed survey, it turned out that in many patients disease provoked marital discord. 60% of men with erectile dysfunction expressed concern about deterioration of sexual activity, loss of most pleasures and regretted irreversibility of deceased youth.
Erectile dysfunction cause in case of benign prostatic hyperplasia (BPH) is functional and organic changes in cavernous bodies smooth muscles, violation of neurogenic regulation, which is followed by subsequent decrease in capacity for cavernous bodies rigidity.
When choosing appropriate treatment method in patients diagnosed with prostate adenoma, special emphasis should be placed on sexual function condition. Many patients can maintain active sexuality, although aging is often associated with less active sexual ability and increasing sense of life dissatisfaction.
Particularly distinct changes in sexual sphere are noted by patients with impaired urination symptoms. The severity of this complex of symptoms can be regarded as an age-related condition, but it has serious negative impact on life quality of aging male.
Symptoms of lower urinary tract can be mild, expressed and severe. A survey in France of 2011 men aged 50-80 years showed that erectile dysfunction symptoms severity is inversely proportional to satisfaction with sexual life. Dissatisfaction with sexual life in men with mild symptoms is twice higher, and with severe – in four, than in men of the same age, not suffering from similar diseases.
Thus, timely prostate diseases diagnosis and treatment (prostatitis, prostate adenoma), as well as assessment of patient’s condition in terms of androgen deficiency associated with andropause, is urgently needed to prevent erectile dysfunction development.